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BP codes

BP Exception code (Added in the last 12 months)

8I3Y. Blood pressure procedure refused

Maximum BP therapy (In last 12 months)

8BL0. Patient on maximal tolerated antihypertensive therapy

BP Codes (In last 12 months)

The latest Systolic <=150 and Diastolic <=90

246% O/E - blood pressure reading,

Excluding:

2460 O/E - BP unrecordable (v7)
2468. O/E - BP reading:postural drop
246H. O/E - Arterial pressure index normal
246I. O/E - Arterial pressure index abnormal
246K. Target systolic blood pressure
246L. Target diastolic blood pressure
246M. White coat hypertension
246h. Arterial pulse pressure
246i. Diastolic blood pressure centile
246j. Systolic blood pressure centile
246k. Unequal blood pressure in arms

In detail:

246. O/E - blood pressure reading
2461. O/E - BP reading very low
2462. O/E - BP reading low
2463. O/E - BP borderline low
2464. O/E - BP reading normal
2465. O/E - BP borderline raised
2466. O/E - BP reading raised
2467. O/E - BP reading very high
2469. O/E - Systolic BP reading
246A. O/E - Diastolic BP reading
246B. O/E - BP stable
246C. Lying blood pressure reading
246D. Standing blood pressure reading
246E. Sitting blood pressure reading
246F. O/E - blood pressure decreased
246G. O/E - BP labile
246J. O/E - BP reading: no postural drop
246N. Standing systolic blood pressure
246P. Standing diastolic blood pressure
246Q. Sitting systolic blood pressure
246R. Sitting diastolic blood pressure
246S. Lying systolic blood pressure
246T. Lying diastolic blood pressure
246Z. O/E-blood pressure reading NOS
246a. Average night interval diastolic blood pressure
246b. Average night interval systolic blood pressure
246c. Average home diastolic blood pressure
246d. Average home systolic blood pressure
246e. Ambulatory systolic blood pressure
246f. Ambulatory diastolic blood pressure
246g. Self measured blood pressure reading
246l. Average systolic blood pressure
246m. Average diastolic blood pressure
246n. Baseline blood pressure (v30)
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Diabetes exception reporting codes

9h4.. Exception reporting: diabetes quality indicators
9h41. Excepted from diabetes quality indicators: Patient unsuitable
9h42. Excepted from diabetes quality indicators: Informed dissent

 

DM 002.1 Rationale

Blood pressure, BP, lowering in people with diabetes reduces the risk of macrovascular and microvascular disease.

DM003 sets a target of 140/80 mmHg as per the target recommended by NICE while the target of 150/90 mmHg has been set for those patients who cannot manage this, such as those with retinopathy, microalbuminuria or cerebrovascular disease.

Setting a Blood Pressure target at a higher level, but expecting most patients to have Blood Pressure below this, is intended to encourage practitioners to address the needs of the minority of patients whose Blood Pressure is hard to control and will avoid the possibility of perverse incentives to focus efforts away from those at highest absolute risk.

DM 002.2 Reporting and verification

See indicator wording for requirement criteria.

NICE clinical guideline 87 (2008). Type 2 Diabetes - newer agents (partial update of CG66). www.nice.org.uk/CG87

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Prepared By Jean Keenan